Healthcare Provider Details

I. General information

NPI: 1144156399
Provider Name (Legal Business Name): DR. MARSHA BELLE MONTANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 CLARKE DR
FREDERICK CO
80530-7135
US

IV. Provider business mailing address

7240 CLARKE DR
FREDERICK CO
80530-7135
US

V. Phone/Fax

Practice location:
  • Phone: 720-421-0023
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09926494
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: